Anesthesia Considerations 

Use of Steroids 

 

 

• Do NOT routinely use hydrocortisone in septic shock 

• Consider IV hydrocortisone 200mg per day if adequate fluid resuscitation + vasopressors have failed to restore hemodynamic stability 

• Taper hydrocortisone once vasopressors are no longer necessary 

 

Adapted from Surviving Sepsis Guidelines 2016. Critical Care Medicine: March 2017 - Volume 45, Issue 3, p 486–552